It is common to carry stress in the shoulders and having spinal misalignments can increase the amount of tension in the shoulders and chest. If you are experiencing chest pain, and have had an an evaluation by a medical doctor to rule out an emergency, visiting a chiropractor is a good second step. Many patients suffer from chest pain as a result of a mid-back misalignment or a rib that has moved out of alignment, causing feelings of pressure or spasms to occur. In some instances, patients have experienced sudden, intense, sharp chest pain and mistaken the experience for a heart attack, or another heart problem. Upon examination and x-ray from a chiropractor, it may be determined that the sensations were caused by a rib misalignment.